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Folate, Red Blood Cell (RBC) Mass Concentration

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of folate (a B vitamin) stored in your red blood cells. Folate is important for cell growth and DNA production, and low levels may indicate poor nutrition or certain medical conditions.

Quick summary

["Your RBC folate levels help assess your body’s folate status and support overall health, especially during pregnancy or if you have certain blood disorders."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
96124-3
Short code
Fet FDL Prctl per est GA
Synonyms
Fet FDL Prctl per est GA
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
per-estimated-gestational-age
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test to check for folate deficiency, especially if you have symptoms like fatigue, weakness, or unusual bleeding. It’s also used in screening or monitoring conditions like anemia, pregnancy, or certain cancers. Folate is crucial for DNA synthesis and red blood cell production, so low levels can affect these processes.

What Does a Low or High Result Mean?

Low RBC folate levels may suggest poor diet, malabsorption issues (like celiac disease), alcohol use, or certain medications. High levels are less common but could indicate folate supplements or genetic factors. Neither extreme is typically harmful unless severe, but your provider will interpret results in the context of your health.

How Is This Test Performed?

A small blood sample is drawn from your arm, usually in a clinic or lab. The blood is then analyzed to measure the folate content in your red blood cells using a specialized laboratory technique.

What Should You Do Before the Test?

No special preparation is needed, but inform your provider about any supplements (like folic acid) or medications you’re taking. Avoid alcohol for a few days before the test if advised, as it may affect folate levels.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low RBC folate is often linked to folate deficiency, which can cause megaloblastic anemia (large, immature red blood cells) or neurological issues. During pregnancy, folate deficiency increases the risk of neural tube defects in the baby. Regular monitoring is important for patients with conditions like Crohn’s disease, celiac disease, or those on certain medications (e.g., anticonvulsants).

Short name

RBC Folate

Frequently asked questions

How Long Does It Take to Get Results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Your provider will discuss the findings with you during your follow-up visit.
Can I Eat or Drink Anything Before the Blood Draw?
You can eat and drink normally before the test unless your provider specifies otherwise. Folate is found in foods like leafy greens, beans, and fortified cereals, so diet won’t affect the test itself, but it may influence your overall health status.
Does This Test Differ from Serum Folate?
Yes. RBC folate measures folate stored in red blood cells, while serum folate checks the folate present in your blood plasma. Both are important, but RBC folate is more stable and reflects long-term folate status.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy